.webp&w=384&q=75){kind=logo}
Loading, please wait...
Loading, please wait...
Completely displaced supracondylar humerus fractures are usually treated with closed reduction and percutaneous pin fixation, but the optimal pin configuration remains debated. A randomized clinical trial compared lateral-entry pinning with medial-and-lateral pinning in children with type III extension fractures. The study evaluated loss of reduction and iatrogenic ulnar nerve injury. Lateral-only pinning provided satisfactory stability while avoiding the direct medial pin trajectory associated with ulnar nerve risk. This evidence supports lateral-entry constructs as a strong option when adequate stability can be achieved without medial pin placement. For HCPs, the key surgical principle is not simply “lateral is safer,” but that stability must remain adequate for the fracture pattern. If a medial pin is needed, careful protection of the ulnar nerve and appropriate elbow positioning are essential. The decision should therefore balance fixation stability against nerve safety. The trial remains relevant because supracondylar fractures are common in children and small technical choices can have meaningful neurological consequences.
Read summarized clinical updates, watch expert medical content, and earn CME certifications right from your smartphone.
Open your smartphone camera to scan and install.
Completely displaced supracondylar humerus fractures are usually treated with closed reduction and percutaneous pin fixation, but the optimal pin configuration remains debated. A randomized clinical trial compared lateral-entry pinning with medial-and-lateral pinning in children with type III extension fractures. The study evaluated loss of reduction and iatrogenic ulnar nerve injury. Lateral-only pinning provided satisfactory stability while avoiding the direct medial pin trajectory associated with ulnar nerve risk. This evidence supports lateral-entry constructs as a strong option when adequate stability can be achieved without medial pin placement. For HCPs, the key surgical principle is not simply “lateral is safer,” but that stability must remain adequate for the fracture pattern. If a medial pin is needed, careful protection of the ulnar nerve and appropriate elbow positioning are essential. The decision should therefore balance fixation stability against nerve safety. The trial remains relevant because supracondylar fractures are common in children and small technical choices can have meaningful neurological consequences.
Today
The phase 3 ACACIA-HCM trial reveals that aficamten improves cardiac structure, diastolic relaxation, functional capacity, and symptom burden in symptomatic nonobstructive hypertrophic cardiomyopathy, marking a major milestone in targeted myosin inhibition.
6 days back
A clinical study shows that automated breast ultrasound paired with artificial intelligence accurately classifies BIRADS 3-4 lesions, reaching 95% sensitivity and 79% specificity. This diagnostic advance promises to reduce unnecessary core needle biopsies and refine clinical workflows in breast imaging.
3 weeks back
Researchers have engineered freestanding hierarchical-porous BCZT thin films that resist cracking and enhance ultrasonic energy harvesting in soft tissue. Achieving high piezoelectric output and acoustic matching, this lead-free material offers transformative potential for implantable bioelectronics.
6 days back
A novel pathology-adaptive surface engineering strategy uses functionalized plasma polymer coatings to selectively modulate AGE adsorption, reducing oxidative stress and restoring bone formation in diabetic and aging microenvironments.
3 weeks back
A breakthrough study identifies the Klotho/PKCα/CUX1/SPARC/TGFβ-RII axis as a critical driver of podocyte mitochondrial injury and ferroptosis in diabetic kidney disease, unveiling promising molecular targets to halt renal disease progression.
6 days back
